Social Support May Protect Against Development of Posttraumatic Stress Disorder: Findings from the Heart and Soul Study

Details

• Personal Author:
  Bates MN ; Cohen BE ; Dinenberg RE ; McCaslin SE
• Description:
  Purpose: No prospective studies have examined the association of poor social support and development of posttraumatic stress disorder (PTSD) in patients with chronic illness. This study addresses this knowledge gap. Design: This prospective study examines the relationship of social support to the subsequent development of PTSD during a 5-year period. Setting: San Francisco Veterans Affairs Medical Center. Subjects: A total of 579 participants with cardiovascular disease did not have PTSD at baseline and returned for the 5-year follow-up examination. Measures: PTSD measured by Computerized Diagnostic Interview Schedule for DSM-IV. Social support measured by Interpersonal Support Evaluation List (ISEL). Analysis: Unconditional ordered logistic regression analyses were performed to yield the odds ratio of developing PTSD for a one-standard-deviation change in ISEL score. Results: Of 579 participants who did not have PTSD at baseline, approximately 6.4% (n = 37) developed PTSD. Higher baseline perceived social support was strongly protective against development of PTSD (OR = .60, p = .001). Results remained significant after adjustment for age, sex, race, income, and depression (OR =.69, p =.04). Of social support types examined, the "tangible" and "belonging" domains were most strongly associated with future PTSD status. Conclusion: Social support may impact development of PTSD. Interventions that optimize social support may be part of a PTSD prevention program designed to help individuals at risk of developing PTSD. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Chronic Disease Epidemiology Occupational Health Safety
• Keywords:
  Adults Association Testing Author Keywords: Social Support Behavioral Health Behavior Change Cardiovascular Disease Chronic Diseases Culture Change Ethnicity Health Care Health Focus: Emotional Health Income Level Manuscript Format Research Outcome Measure Post-traumatic Stress Disorder Posttraumatic Stress Disorder Prevention Research Prospective Study Psychological Responses PTSD PTSD Prevention Race Relationship Testing Research Purpose: Modeling Setting: Clinical Social Health Sociological Factors Strategy: Skill Building Study Design: Quantitative Target Population Target Population Circumstances: Education

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• ISSN:
  0890-1171
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  294-297
• Volume:
  28
• Issue:
  5
• NIOSHTIC Number:
  nn:20053640
• Citation:
  Am J Health Promot 2014 May; 28(5):294-297
• Contact Point Address:
  Robert Eric Dinenberg, MD, MPH, Viridian Health Management, 8060 La Jolla Shores Dr, Suite 5A, La Jolla, CA 92037
• Email:
  edinenberg@viridianhealth.com
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of California, Berkeley
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Health Promotion
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2739bfb0f00352cd3d9876737833f9b767203a783c48f6fed74922b10b7ac57a304c85bfedb571b8ca000e36de61eaa9db62d40b00ffc73ea5d94f7521041f66
• Download URL:
  https://stacks.cdc.gov/view/cdc/216361/cdc_216361_DS1.pdf
• File Type:
  [PDF - 1.58 MB ]